HomeMy Public PortalAbout5220 PERSIMMON AVE_Plumbing__ 76A667 f 17-6-57 ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS s> •i210
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,.SUP•t OF BUILDING LOCALITY ajf
FOR APPLICANT TO FILL IN NEAREST
CROSS ST:
NUMBER FIXTURE OR ITEM
FIXTUREOR. OWNER ' I.- U ` '
WATER.CLOSET MAIL
BATH TUB ADDRESS; yj
SHOWER ;CITY TEL.NO:
LAVATORY 'CONTRACTOR .
SINK ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACT STATE
REGISTRA00h NO. COUNTY ❑
CLOTHES WASHER
DI.STRICT NO. GRZONE READY FOR INSPECTION
WATER HEATER �J+
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
5
APPROVALS
$1.00 PER ITEM /�� DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ �v •UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1100 . GAS PIPING
_6
TOTAL FEE GAS VENT;/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATEh
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND -STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PERTY.
SIGNATURE
OF PERMITTEE FINAL
es VALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
CK. M.
- .. . Ml211 -.FEB13 3 A 400 M
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof CD Engineer
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
FOR
��APPLICANT
rT1�O�q FILL
II�INfI►� /�/ ISTR Jr 'GROUP ZO l
PLUMBER '1flLLL�YPOMMRbr1prUIYI-9I0 Co. S �j ��
RECEI ED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 1%3WEAST VALLEY BLVD. ✓�, 7
CITY `� �D TEL.No. AT, 2271 ADDREBB
COUNTY �s��p�
LICENSE NO. EXPIRES
EXPIRES g3� LOCALITY
NEAREST
PERMIT FEES CROBS ST.
NUMBER TYPE CF FIXTURE OR ITEM FEE OWNER ,
MAIL
WATER CLOSET(TOILET) Q 0.50 !B ADDRESS
BATH TUB a 0.50 CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T1418
LAVATORY (WASH BASIN) IFQ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I RCETIFY THAT I POSSE88 THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE -LEGAL OWNER
GAS SYSTEM-OUTLETS 0 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
WATER HEATER a 0.50 SIGNETRI TTE
SLOP SINK ® 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN O.SO
URINAL 0.50 J
Q
HOUBE SEWER ! 0.50 _Z
MISCELLANECU tA M
O
APPROV4&S
C) aE • INBPECTO NAME
ROUGH PLUMBINGpR.ae, -1�o %
-GAS PIPING
GAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 1 SEWER
PERMIT .
1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FI NAL +
76A667 DBS#17 6-58
'� I
COUNTY OF Los ANGELES APPLICATION FOR PERMIT
DSparta OF of CD Engineer �'
DIVISION OF BUILDING 8c SAFETY
WILLIAM J. FOX, County Engineer
NG 1
FOR APPLICANT TO FILL IN DISTRICT Na. GROUP I ZONE
SOOSr.Z.G Z7
PLUMBEWALLEY BOULEVARD EL117.13 NIG CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS8300 EASTVALLEY BLVD. �1i/
o BUILDING
CITY ROSEI;'.EAD TEL NO-AT. 2-2719 ADDRESS
COUNTY 93M G (ter
LICENSE NO. EXPIRE96-30• LOCALITY
NEAREST
PERMIT FEES CROSS BT.
NUMBER TYPE CF FIXTURE OR ITEM FEE OWNER �
MAIL
WATER CLOSET(TOILE" 1D 0.50 111 ADDRESS
BATH TUB0.50 CITY TEL No.
SHOWER Q 0.50 I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 6 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSBESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR I AM THE-LEGAL OWNER
- OF THE RESIDENTIA PROPERTY DESCRIBED AB VE.
GAS SYSTEM OUTLETS 41 0.50 ory
WATER HEATER 0.50 SIGNATURE
SLOP BINK 0.50 INSPECTION RECORD
�. FLOOR BINK Q 0.60
FLOOR DRAIN 0.50
DISHWASHER Q 0.50 Jas
DRINKING FOUNTAIN 0.00
URINAL 0.50
HOUSE SEWER 411 0.50 Z
MISCELLANEOUS
Q'
O
APPROVALS
OA INSPECTCR'9 NAME
ROUGH PLUMBING �� .•_��
OAS PIPING �r (/� 'l 1►/
GAB VENT !
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK., SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.170 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
76A667 DBS.#17 6-58 `V /